蓝光联合护理干预对新生儿黄疸临床问题及策略.doc

蓝光联合护理干预对新生儿黄疸临床问题及策略 　[摘要] 目的 探讨蓝光联合护理干预对新生儿黄疸的治疗效果。 方法 回顾性分析2011年5月～2012年12月在本院治疗的新生儿黄疸病例210例，随机分为观察组和对照组各105例，观察组采用蓝光联合护理干预，对照组采用药物治疗配合常规护理，比较两组患者治疗效果、血生化指标和家属满意度。 结果 观察组患儿行蓝光联合护理干预治疗后，总有效率为96.2%，高于对照组（81.0%），两组比较差异有统计学意义（Plt;0.05）。血生化指标结果指出，治疗后两组患儿总胆红素、游离胆红素及结合胆红素均下降，与治疗前比较差异有统计学意义（Plt;0.05）；治疗后观察组患儿总胆红素、游离胆红素及结合胆红素均低于对照组，两组比较差异有统计学意义（Plt;0.05）。观察组患儿家属满意度明显高于对照组（Plt;0.05）。 结论 蓝光联合护理干预可以有效治疗新生儿黄疸，降低游离胆红素，提高患者满意度，具有一定的临床推广价值。 　[关键词] 新生儿黄疸；蓝光照射；护理 　[中图分类号] R473.72 [文献标识码] B [文章编号] 1673-9701（2015）01-0077-03 　The clinical value of blue light therapy combined nursing intervention on the neonatal jaundice 　XING Liying1 CHEN Liwen1 WU Yin1 GUAN Xiangrong2 　1.Department of Pediatrics，Maternal and Child Health Hospital of Shengzhou City in Zhejiang Province， Shengzhou 312400，China；2.Department of Obstetrics and Gynecology， Zhejiang Province Peoples Hospital， Hangzhou 310014，China 　[Abstract] Objective To investigate the effect of combined nursing intervention on the blue light therapy in treatment of neonatal jaundice. Methods A retrospective analysis of 210 cases of neonatal jaundice treated from May 2011 to December 2012 in our hospital， they were randomly divided into observation group and control group， each of 105 cases， observation group treated with blue light therapy joint nursing intervention and the control group treated with drug treatment and routine care， patient outcomes， blood biochemistry and family satisfaction were compared. Results After nursing intervention in children with blue light therapy treatment， the total effective rate of the observation group was 96.2%， higher than control group（81.0%）， and there was significant difference （Plt;0.05）. The blood biochemistry results indicated that after the treatment the total bilirubin， free bilirubin and conjugated bilirubin of the two groups were all decreased， and there was significant difference between the two groups （Plt;0.05）. After the treatment， the total bilirubin， free bilirubin and conjugated